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Early Childhood Caries in Peru

التسوس في مرحلة الطفولة المبكرة في بيرو
Authors: Jorge Luis Castillo; Camila Palma; Ailín Cabrera-Matta;

Early Childhood Caries in Peru

Abstract

La carie de la petite enfance (CPE) est un problème de santé bucco-dentaire mondial, et le Pérou peut être l'un des pays où la prévalence de la CPE non traitée est élevée en Amérique du Sud. Dans cette étude, nous avons construit un profil épidémiologique de l'ECC au Pérou à travers un examen complet des données publiées. La prévalence de l'ECC, ses facteurs de risque, son impact sur le développement de l'enfant et les interventions publiques de santé bucco-dentaire sur l'ECC ont été inclus. L'étude a révélé des taux extrêmement élevés d'ECC au Pérou et des disparités importantes en matière de santé bucco-dentaire. Les facteurs de risque de l'ECC étaient la pauvreté, une consommation élevée de sucre et une faible littératie en santé bucco-dentaire. Cependant, le nombre d'études est limité et leur qualité douteuse. La santé bucco-dentaire n'a pas reçu de priorité élevée en matière de santé publique au Pérou. Cependant, ces dernières années, de nouvelles réglementations et des documents fondés sur des données probantes (la première directive de pratique clinique pour la prévention, le diagnostic et la prise en charge des caries chez les enfants ; la directive pour une croissance et un développement sains des enfants ; la loi sur une alimentation saine ; et le manuel sur la publicité alimentaire) donnent de l'espoir pour l'avenir de la santé bucco-dentaire des nourrissons dans le pays.

La caries en la primera infancia (ECC, por sus siglas en inglés) es un problema global de salud oral, y Perú puede ser uno de los países con alta prevalencia de ECC no tratada en América del Sur. En este estudio, construimos un perfil epidemiológico de ECC en Perú a través de una revisión exhaustiva de los datos publicados. Se ha incluido la prevalencia de ECC, los factores de riesgo para ella, su impacto en el desarrollo infantil y las intervenciones de salud oral pública en ECC. El estudio reveló tasas extremadamente altas de ECC en Perú y disparidades significativas en la salud oral. Los factores de riesgo para la ECC fueron la pobreza, el alto consumo de azúcar y la baja alfabetización en salud oral. Sin embargo, el número de estudios es limitado y su calidad cuestionable. La salud bucal no ha recibido una alta prioridad de salud pública en Perú. Sin embargo, en los últimos años, las nuevas regulaciones y los documentos basados en la evidencia (la primera Guía de Práctica Clínica para la Prevención, Diagnóstico y Manejo de la Caries en Niños; la Guía para el Crecimiento y Desarrollo Saludable de los Niños; la Ley de Dieta Saludable; y el Manual de Publicidad Alimentaria) dan esperanza para el futuro de la salud oral de los bebés en la nación.

تسوس الأطفال في مرحلة الطفولة المبكرة (ECC) هو مشكلة عالمية لصحة الفم، وقد تكون بيرو واحدة من البلدان التي تنتشر فيها نسبة عالية من تسوس الأطفال في مرحلة الطفولة المبكرة غير المعالج في أمريكا الجنوبية. في هذه الدراسة، قمنا ببناء ملف وبائي لـ ECC في بيرو من خلال مراجعة شاملة للبيانات المنشورة. تم تضمين انتشار الرعاية في مرحلة الطفولة المبكرة وعوامل الخطر المرتبطة بها وتأثيرها على نمو الطفل وتدخلات صحة الفم العامة على الرعاية في مرحلة الطفولة المبكرة. كشفت الدراسة عن معدلات عالية للغاية من الرعاية في مرحلة الطفولة المبكرة في بيرو وتفاوتات كبيرة في الصحة الفموية. وتتمثل عوامل الخطر المتعلقة بالرعاية في مرحلة الطفولة المبكرة في الفقر وارتفاع استهلاك السكر وانخفاض مستوى الإلمام بصحة الفم. ومع ذلك، فإن عدد الدراسات محدود ونوعيتها مشكوك فيها. لم تحظ صحة الفم بأولوية عالية في مجال الصحة العامة في بيرو. ومع ذلك، في السنوات الأخيرة، فإن اللوائح الجديدة والوثائق القائمة على الأدلة (أول دليل إرشادي للممارسة السريرية للوقاية من التسوس وتشخيصه وإدارته عند الأطفال ؛ والمبادئ التوجيهية لنمو الأطفال ونمائهم الصحيين ؛ وقانون النظام الغذائي الصحي ؛ ودليل الإعلان عن الأغذية) تعطي الأمل لمستقبل صحة فم الرضع في البلاد.

Early Childhood Caries (ECC) is a global oral health problem, and Peru may be one of the countries with high prevalence of untreated ECC in South America. In this study, we constructed an epidemiologic profile of ECC in Peru through a comprehensive review of published data. The prevalence of ECC, risk factors for it, its impact on child development, and public oral health interventions on ECC have been included. The study revealed extremely high rates of ECC in Peru and significant oral-health disparities. Risk factors for ECC were poverty, high sugar consumption, and low oral health literacy. However, the number of studies is limited and their quality questionable. Oral health has not received high public-health priority in Peru. However, in recent years, new regulations and evidence-based documents (the first Clinical Practice Guideline for the Prevention, Diagnosis, and Management of Caries in Children; the Guideline for Children's healthy Growth and Development; the Law on Healthy Diet; and the Manual on Food Advertising) give hope for the future of infants' oral health in the nation.

Keywords

Oral health, FOS: Clinical medicine, oral health children, oral health education, Dental Caries, early childhood caries, Dentistry, Peru, Health Sciences, Dental Anxiety and Anesthetic Management in Dentistry, dental caries, Periodontal Diseases and Oral Microbiome, Periodontics, Medicine, Global Oral Health and Dental Caries, Public Health, Public aspects of medicine, RA1-1270, Oral Surgery, Early childhood caries, oral health related quality of life

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
14
Top 10%
Top 10%
Top 10%
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